结直肠癌患者术后生命质量及社会支持现状研究
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摘要
目的
1、评价武汉市结直肠癌患者术后的生命质量,并探讨其影响因素,为干预措施的制定提供科学依据。
2、评价武汉市结直肠癌患者术后的社会支持状况,为结直肠癌患者术后社会支持状况的改善提供理论参考。
3、评价QLQ-C30量表中文版的信度和效度。
方法
1、运用QLQ-C30量表中文版对结直肠癌患者术后生命质量进行测评,运用多元线性回归分析的方法筛选出生命质量影响因素。
2、评价结直肠癌患者术后的社会支持状况,并采用t检验和方差分析筛选相关的影响因素。
3、运用因子分析、相关分析等方法对量表的信度、效度进行评价。
结果
1、在功能子量表中,角色功能、情绪功能、躯体功能、认知功能得分较高,社会功能得分最低;在症状子量表中,疲乏得分最高,其余依次为疼痛、恶心与呕吐;在单项测量条目中,经济困难条目的得分最高。多元线性回归分析结果显示:症状数目、伴有其他疾病、社会支持得分、康复锻炼、文化程度是总体生命质量得分的影响因素;症状数目、伴有其他疾病、康复锻炼是功能领域总分的影响因素。
2、结直肠癌患者术后得到的主观支持、社会支持总分随着年龄的增长逐渐下降;高学历患者获得较高的客观支持;在职患者得到的主观支持及社会支持总分高于离退患者;在婚患者得到的客观支持、主观支持及社会支持总分高于离异或丧偶患者;家庭月收入2000元以上患者得到的客观支持及社会支持总分高于家庭平均月收入低于2000元患者。
3、QLQ-C30量表中文版各维度Cronbach’sα系数界于0.662～0.876,各维度的分半信度系数界于0.662～0.876之间。经探索性因子分析提取6个公因子,累计方差贡献率为69.06%,这6个公因子可合并成为2大方面,基本上与QLQ-C30量表的功能测量和症状测量2大理论构想一致。每个条目与其相应维度得分的相关性较高,与无关的维度得分的相关性较差。
结论
1、应从结直肠患者生命质量的影响因素出发,提供合理、有效的干预措施,提高患者的生命质量。
2、结直肠癌患者术后社会支持的整体状况较好,但是患者对支持的利用度不是很理想;同时提示我们要更多的关注高龄、丧偶和离异及低文化程度低收入患者的社会支持状况。
3、QLQ-C30(V3.0)中文版具有较好的信度和效度,可以用于我国结直肠癌患者生命质量的测评。
Objective:
1 To evaluate the quality of life for patients with colorectal cancer in Wuhan who have lived more than one year after operation, and to explore the influencing factors of quality of life. According to the result, we can make interventions correctly. By analyzing the quality of life of patients with colorectal cancer in Wuhan, we can offer scientific basis of the development of interventions.
2 To evaluate social support of patients with colorectal cancer in Wuhan who have lived more than one year after operation, According to the result, we can offer some theotetical references of the improvement of social support.
3 To estimate the reliability and validity of the Chinese version of the QLQ-C30 scale.
Methods:
1 To measure the Quality of life with the QLQ-C30 scale. Then, find the influencing factors by analyzing the data with multiple linear regression analysis.
2 To evaluate social support of colorectal cancer with t-test and univariate analysis.
3 To assess reliability and validity of the QLQ-C30 scale with factor analysis and correlation analysis.
Results:
1 In function scale, the lowest function was social function; In symptom scale, the highest score was fatigue, followed by pain, nausea and vomiting; In the single symptom scale, the highest score was economic difficulty. Multiple linear regression analysis showed that the influencing factors of the general quality of life were the number of symptoms、comorbidities、social support、exercise rehabilitation and education backgroud. The influencing factors of the function scale were the number of symptoms、comorbidities and exercise rehabilitation.
2 The subjective support and social support scores declined gradually with age; The influencing factors also included education backgroud、professional situation、matital status、average monthly income.
3 The Cronbach’s alpha coefficient and split-half reliability coefficient of the Chinese version of QLQ-C30 were between 0.662 and 0.876. 6 common factors were extracted and the cumulative variance was 69.06%. 2 aspects can be merged from the 6 common factors, and the 2 aspects were essentially consistent with the 2 domains of the QLQ-C30. The coefficients between same domain were higher than the coefficients between different domains.
Conclusion:
1 The reasonable valid intervention can be offered according to the influencing factors of quality of life for colorectal cancer after operation. 2 The overall situaton of the social support of patients with colorectal cancer was good, but the situation of utilization was not very good. It suggested we should pay more attention to the old、widowed and divorced、low educational、poor level.
3 The Chinese version of the QLQ-C30 had good reliablity and validity and can be used to assess the quality of life of Chinese colorectal patients.
1、评价武汉市结直肠癌患者术后的生命质量,并探讨其影响因素,为干预措施的制定提供科学依据。
2、评价武汉市结直肠癌患者术后的社会支持状况,为结直肠癌患者术后社会支持状况的改善提供理论参考。
3、评价QLQ-C30量表中文版的信度和效度。
方法
1、运用QLQ-C30量表中文版对结直肠癌患者术后生命质量进行测评,运用多元线性回归分析的方法筛选出生命质量影响因素。
2、评价结直肠癌患者术后的社会支持状况,并采用t检验和方差分析筛选相关的影响因素。
3、运用因子分析、相关分析等方法对量表的信度、效度进行评价。
结果
1、在功能子量表中,角色功能、情绪功能、躯体功能、认知功能得分较高,社会功能得分最低;在症状子量表中,疲乏得分最高,其余依次为疼痛、恶心与呕吐;在单项测量条目中,经济困难条目的得分最高。多元线性回归分析结果显示:症状数目、伴有其他疾病、社会支持得分、康复锻炼、文化程度是总体生命质量得分的影响因素;症状数目、伴有其他疾病、康复锻炼是功能领域总分的影响因素。
2、结直肠癌患者术后得到的主观支持、社会支持总分随着年龄的增长逐渐下降;高学历患者获得较高的客观支持;在职患者得到的主观支持及社会支持总分高于离退患者;在婚患者得到的客观支持、主观支持及社会支持总分高于离异或丧偶患者;家庭月收入2000元以上患者得到的客观支持及社会支持总分高于家庭平均月收入低于2000元患者。
3、QLQ-C30量表中文版各维度Cronbach’sα系数界于0.662～0.876,各维度的分半信度系数界于0.662～0.876之间。经探索性因子分析提取6个公因子,累计方差贡献率为69.06%,这6个公因子可合并成为2大方面,基本上与QLQ-C30量表的功能测量和症状测量2大理论构想一致。每个条目与其相应维度得分的相关性较高,与无关的维度得分的相关性较差。
结论
1、应从结直肠患者生命质量的影响因素出发,提供合理、有效的干预措施,提高患者的生命质量。
2、结直肠癌患者术后社会支持的整体状况较好,但是患者对支持的利用度不是很理想;同时提示我们要更多的关注高龄、丧偶和离异及低文化程度低收入患者的社会支持状况。
3、QLQ-C30(V3.0)中文版具有较好的信度和效度,可以用于我国结直肠癌患者生命质量的测评。
Objective:
1 To evaluate the quality of life for patients with colorectal cancer in Wuhan who have lived more than one year after operation, and to explore the influencing factors of quality of life. According to the result, we can make interventions correctly. By analyzing the quality of life of patients with colorectal cancer in Wuhan, we can offer scientific basis of the development of interventions.
2 To evaluate social support of patients with colorectal cancer in Wuhan who have lived more than one year after operation, According to the result, we can offer some theotetical references of the improvement of social support.
3 To estimate the reliability and validity of the Chinese version of the QLQ-C30 scale.
Methods:
1 To measure the Quality of life with the QLQ-C30 scale. Then, find the influencing factors by analyzing the data with multiple linear regression analysis.
2 To evaluate social support of colorectal cancer with t-test and univariate analysis.
3 To assess reliability and validity of the QLQ-C30 scale with factor analysis and correlation analysis.
Results:
1 In function scale, the lowest function was social function; In symptom scale, the highest score was fatigue, followed by pain, nausea and vomiting; In the single symptom scale, the highest score was economic difficulty. Multiple linear regression analysis showed that the influencing factors of the general quality of life were the number of symptoms、comorbidities、social support、exercise rehabilitation and education backgroud. The influencing factors of the function scale were the number of symptoms、comorbidities and exercise rehabilitation.
2 The subjective support and social support scores declined gradually with age; The influencing factors also included education backgroud、professional situation、matital status、average monthly income.
3 The Cronbach’s alpha coefficient and split-half reliability coefficient of the Chinese version of QLQ-C30 were between 0.662 and 0.876. 6 common factors were extracted and the cumulative variance was 69.06%. 2 aspects can be merged from the 6 common factors, and the 2 aspects were essentially consistent with the 2 domains of the QLQ-C30. The coefficients between same domain were higher than the coefficients between different domains.
Conclusion:
1 The reasonable valid intervention can be offered according to the influencing factors of quality of life for colorectal cancer after operation. 2 The overall situaton of the social support of patients with colorectal cancer was good, but the situation of utilization was not very good. It suggested we should pay more attention to the old、widowed and divorced、low educational、poor level.
3 The Chinese version of the QLQ-C30 had good reliablity and validity and can be used to assess the quality of life of Chinese colorectal patients.
引文
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